First, yes I understand and anyone else reading this should understand that nothing said here is medical advise that should be taken without discussions with however many doctors you may have at the moment. I’m just wanting feedback from others with some experience with similar issues. Okay, on with the show.
If reading is difficult at this time for you or you get bored easily skip to last paragraph : )
I’ve been on a strange cocktail of low Trokendi (extended release topamax), zoloft, Lamictal, and Vyvance (for add, but actually helps) and botox. I’ve been pretty stable for almost 2yrs now with periodic flare ups that are still better than my best days before.
I’ve been talking to the psych about trying Effexor instead of zoloft with hope of getting of the Trokendi and Lamictal. Both are very low doses,but I have never liked the cognitive effects of Trokendi ( topamax). She’s on board,but the more I think of it I am jeopardizing destabilizing from something that works and the gamble of something that may work better. Also Effexor’s half life scares me. I rarely forget to take my zoloft but if I did I can go a day or almost 2 with noticing,but many say an hour or two difference with Effexor can start withdraw and that lack of flexibility would have to be worth some big gains.
So in summary, my cocktail works pretty well,but Effexor could work a little better with less meds or destabilize the progress I’ve made. Thoughts?